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We are carrying out a review of quality at Precious Support Services. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating


Updated 11 March 2017

This inspection took place on 23 January 2017 and 30 January 2017 and was announced.

The registered provider, Precious Support Services Limited is a domiciliary care agency which provides support and care to adults with a physical disability or mental health difficulties in their own home. The majority of people receiving a service lived alone, whilst others lived with family members or shared accommodation with live in carers. At the time of our inspection, the agency was providing personal care to 76 people.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe and comfortable with the care workers employed to meet their needs. Care workers knew their responsibilities to protect people from the risk of abuse and received training to assist them. People's legal rights were protected and care workers ensured people's right to make decisions were respected. We found people were supported with their medication by care workers who were trained and assessed as competent to give medicines safely and as prescribed.

The provider conducted risk assessments which identified specific risks for each person and gave guidance to care workers about how they could assist people in a way which promoted their independence and choice. Assessments were reviewed regularly so staff had accurate information to refer to.

The provider’s rota system was flexible enough to ensure care workers could safely meet people's needs at the times they agreed. People and their relatives told us they enjoyed the time they spent with their care workers and were confident care workers had the skills and training to undertake the care being provided.

The provider had a clear system for employing new staff and ensured pre-employment checks were conducted prior to staff starting work to confirm workers could be safely employed. Care workers we spoke with confirmed they had not been able to work until relevant employment checks had been completed.

People were able to make choices about the way their care was provided and were supported to do so. Care plans focussed on the individual care and support needs of the person, and copies were stored securely at the main office and where appropriate at people’s homes. Care workers were responsive to people's needs and where people's needs changed they ensured office staff were informed so care plans were adjusted to reflect the change. We found the care plans provided details about people’s preferred methods of communication, favourite activities and personal choices and that these preferences were known to the care workers.

People had access to health professionals when needed and the provider advocated on behalf of people to ensure appropriate health care was provided. People and their relatives knew what to do if they had any concerns about their care, and the provider responded positively to any issues or complaints raised.

The Care workers we spoke with felt senior management were supportive and confirmed they had regular one to one meetings, appraisals and team meetings. Staff had access to training and professional development and a system was in place to ensure training was up to date. Care workers received training on mental capacity and demonstrated an understanding and worked within, the principals of the Mental Capacity Act (2005).

We found the provider had systems to assess, monitor and improve the quality of the service and obtained feedback on the service provided. Care workers were given responsibility and were involved in the day to day running of the service. They felt able to make suggestions about how the service could improve. We also found the views

Inspection areas



Updated 11 March 2017

The service was safe.

Peoples’ care plans contained specific risk assessments which gave instructions to care workers about the ways they could assist people to manage the risk effectively. Care workers were aware of safeguarding procedures and knew what action to take if they suspected a person was at risk of abuse. People received, or were supported to take their medication safely and as prescribed from trained and competent care workers. There were sufficient care workers employed by the provider to keep people safe.



Updated 11 March 2017

The service was effective.

People were assisted by care workers who were competent and trained to meet their care and support needs effectively. Care workers respected and promoted people’s right to make choices. Where people were unable to make their own choices, appropriate relatives and professionals were involved in making decisions in the person’s best interests. People were supported to gain access to health care professionals when needed, and were supported to maintain their own health and welfare.



Updated 11 March 2017

The service was caring.

People told us they were treated with kindness, dignity and felt respected by the provider and the staff. Care workers were able to describe their knowledge of people and the way they wanted to receive their personal care and assisted people to achieve this in a way that promoted people to be as independent as possible.



Updated 11 March 2017

The service was responsive.

Care plans demonstrated the provider involved people and where appropriate their relatives, in care planning decisions. Staffing rotas were operated in a flexible way to allow for changes to care needs and unexpected occurrences. We found people and their relatives knew how to make complaints or raise any issues of concern that arose, and were confident they would be dealt with.



Updated 11 March 2017

The service was well led.

People and their relatives were contacted regularly for their views about the service and had easy access to the provider, to make any immediate suggestions for improvement. Care workers, we spoke with were happy in their roles and felt able to discuss ways to improve the service. The provider demonstrated they had appropriate policies and were reviewing processes to maintain and improve quality. Staff felt they contributed to improving quality assurance.